OTHER HALF (lectures 27-36) Flashcards
(78 cards)
What is Vasoconstriction?
The contraction of smooth muscle in the arteriole walls; it increases blood pressure
What is Vasodilation?
The relaxation of smooth muscles in the arterioles, causes blood pressure to fall
- Nitric oxide is a major inducer
What are Baroreceptors?
Specialized nerve endings that respond to stretch of vessel wall indirect response to changes in BP
- Located in the carotid and aortic arch
What is the Renin-Angiotensin-Aldosterone system?
It is apart of a complex feedback circuit that functions in homeostasis
- drop in blood pressure near glomerulus causes the juxtaglomerular apparatus of the kidney to release the enzyme renin
- renin triggers the formation of the peptide angiotensin II
- Angiotensin raises blood pressure and decreases blood flow in the kidneys
- also stimulates the release of the hormone aldosterone, which increases blood volume and pressure
What are factors affecting blood pressure?
Diet: (salt, fat, cholesterol, alcohol)
smoking, obesity and type 2, diabetes, stress, low activity
Hypertension
How do you treat hypertension?
Non-pharmacological: lifestyle changes - diet, exercise, smoking, alcohol
Drug treatment: antihypertensives, reduce blood volume and reduce cardiac output
- Beta-blockers
- alpha-blockers
- mixed
-ACE inhibitors
What are cells in the innate immune system?
- Dendritic cells
- Macrophage
- Natural killer cell
- Neutrophil
- Basophil
- Eosinophil
What are cells in the adaptive immune system?
B cell, T cell
What are the two sides of an immune response?
Internal threat - autoimmune problem (disease; cancer, hepatitis, HIV, shingles)
External threat - allergic reaction (infection; bacteria, mold/fungus, parasites, viruses)
How are RNA viruses recognised?
They are recognized by nucleic acid detection and drive interferons
- Type -I interferons prepare local cells to avoid viral infection
(viruses try to subvert this)
What is viral sepsis and systemic inflamation?
Infection of the lung epithelium, increased vascular permeability and local inflammation.
- Lowered lung function and hypoxemia
- Acute anti-viral response ‘goes systemic’
- Increased coagulation, microcirculation problems, brain tissue hypoxia
What are the two checkpoints in the immune system to fight cancer?
- Ipilimumab
- Nivolumab
What are the side effects of checkpoint therapy in cancer treatments?
The checkpoints are not specific to tumor environment:
some side effects in include -
Thyroiditis, dry mouth, rash, vitiligo, myocarditis, pancreatitis, hepatitis neuropathy etc.
What is the link between inflammation and obesity?
- Fat tissue contains 50-60% macrophages and regulatory T-cells
- Apoptotic fat cells –> inflammatory factors released and M1- activated macrophage
- TNF-a and other inflammatory factors
- Inflammation recruits additional immune cells
- Inflammation causes fat tissue to become insulin-resistant
What is the difference between lean adipose tissue and obese fat tissue?
After weight gain the tissue becomes inflamed and there are pro-inflammatory molecules present
What are iNKT cells?
They are also known as Invariant natural killer T cells: restricted and conserved CDR3 region, Non-MHC-restricted, invariant/semi-variant
- They also produce IL-10 (a cytokine with anti-inflammatory properties)
What do iNKT cells do for the metabolism?
They positively regulate the metabolism
What do macrophages do for the brain?
They repair brain injury, but if the brain is injured again 1-2 later there will be no healing and lasting damage.
What are essential nurients?
Required materials that an animal cannot assemble from simpler organic molecules
What are the four classes of essential nutrients?
-Essential amino acids
- Essential fatty acids
- Vitamins
- Minerals
What is digeston?
The process of breaking food down into molecules small enough to absorb
What is mechanical digestion?
The chewing, or grinding, increases the surface area of food.
What is chemical digestion?
digestion splits the food into small molecules that can pass through membranes; these are used to build larger molecules
- the process of enzymatic hydrolysis splits bonds in molecules with the addition of water
What are the organs/parts required for digestion?
Tongue, oral cavity, salivary glands, pharynx, esophagus, liver, gallbladder, stomach, pancreas, small intestine, large intestine, rectum, anus